Be an early applicantLess than 25 applicants

Company

Sedgwick · 12 hours ago

Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or Mountain Time Zone)

Roseville, CA

Full-time

Remote

Mid, Senior Level

$85K/yr - $85K/yr

5+ years exp

Maximize your interview chances

BankingInsurance

No H1B

Security Clearance Required

Insider Connection @Sedgwick

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.

Responsible for litigation process on litigated claims.

Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.

Reports large claims to excess carrier(s).

Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.

Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.

Communicates claim action/processing with insured, client, and agent or broker when appropriate.

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims management experiencePersonalCommercial line auto policiesMedical terminology knowledgeState adjusting licensesMicrosoft Office proficiencyService expectationsTeamwork ability

Required

Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.

Secure and maintain the State adjusting licenses as required for the position.

In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.

Knowledge of medical terminology for claim evaluation and Medicare compliance.

Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.

Strong oral and written communication, including presentation skills.

PC literate, including Microsoft Office products.

Strong organizational skills.

Strong interpersonal skills.

Good negotiation skills.

Ability to work in a team environment.

Ability to meet or exceed Service Expectations.

Credit security clearance, confirmed via a background credit check, is required for this position.